ClinicalTrials.gg
RecruitingNCT07179614WJCOIN-IIUpdated Sep 16, 2026

Kentucky Women's Justice Community Overdose Innovation Network - Phase II

An interventional study of Overdose Prevention Intervention Package (OPIP) in Overdose Risk, Opioid Use Disorder and Stimulant Use Disorders, sponsored by Michele Staton. Recruiting at 3 sites in United States. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Michele Staton · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Jun 2026; still recruiting 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 1,222 studies in Opioid-Related Disorders with a site in United States — 246 open to participants now, 316 under way, 20 of them phase 3. Opioid-Related Disorders · United States.

Planned enrollment
166th of 1,097
300 · median 56
Started
2026
with 83 others
No phase
569 of 1,222
131 open now
Primary completion
2030-10
later than 311 of 315 live
Registered
1,142nd of 1,222
by date

Among the 1,222 studies in Opioid-Related Disorders with a site in United States, this one is the 166th largest by planned enrollment of the 1,097 interventional ones, is one of 84 that started in 2026, is one of 569 with no phase, reaches primary completion later than 311 of the 315 other live ones, and was the 1,142nd registered.

By phase

1,222 studies; the count open now beside each. This study's row is marked.

No phasethis study569 · 131 open
Phase 2190 · 26 open
Phase 1132 · 24 open
Observational122 · 29 open
Phase 479 · 18 open
Phase 375 · 11 open
Phase 1/230 · 4 open
Phase 2/325 · 3 open

By the year they started

First in 1988; this study’s year is marked. 84 started in 2026.

Size and results

Median enrollment 56 across the 1,097 interventional studies, 85 across the 122 observational. Of the 833 that completed or were terminated, 331 (40%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 1,222 studies in Opioid-Related Disorders with a site in United States, or all of them as a file.
02

Study summary

This project continues our work with women in the Kentucky Women's Justice Community Overdose Innovation Network Phase II (WJCOIN-II) with the overall aim of reducing overdose risk during the transition from jail to rural communities. WJCOIN-II has potential for significant impact regarding the effectiveness, implementation, and sustainability of innovative overdose prevention strategies during the high-risk time of community re-entry among vulnerable, CLS-involved women in rural communities. This research will impact the field by increasing the capacity of the criminal legal system to respond to the overdose crisis through increased access to prevention strategies to reduce overdose risk.

Read the detailed description

Overdose deaths among women rose nearly 500% in the past two decades, a rate considerably higher than men. Yet, overdose prevention approaches that target the unique risks of women, particularly those involved in the criminal legal system (CLS) in underserved rural areas, are limited. This application proposes to continue our work with women in the Kentucky Women's Justice Community Overdose Innovation Network Phase II (WJCOIN-II) with the overall aim of reducing overdose risk during the transition from jail to rural communities. Specific aims include: Aim 1: Compare the effectiveness of pre-release RC to RC+SPE in decreasing women's overdose risk during re-entry to rural communities. Through a multi-site 2 X 2 factorial design, women will be randomly assigned to two pre-release conditions (1) Recovery Coaching (RC) only or (2) RC + support person engagement (SPE) to reduce overdose risk through the development of an overdose prevention plan and increase motivation for treatment entry within one-month post-release. Aim 2: Compare the additive effectiveness of CM initiated post-release to RC alone and RC+SPE in decreasing overdose risk and increasing treatment entry and retention among women during re-entry to rural communities. The 2 X 2 factorial randomized design also includes assignment to one of two post-release conditions: 1) continuation of pre-release intervention (RC or RC+SPE) only in the community through ongoing sessions, or 2) addition of contingency management (RC+CM or RC+SPE+CM) to incentivize target behaviors (reduced days of drug use). Depending on treatment entry by the one-month post-release period (non-initiators vs. initiators of treatment), the following aims will be examined post-release from jail: Aim 2a. Among non-initiators, examine the additive effectiveness of post-release CM to reduce overdose risk. Aim 2b. Among treatment initiators, examine the additive effectiveness of post-release CM to increase treatment retention. Aim 3: Contextualize effectiveness of intervention components by examining the roles of perceived acceptability and appropriateness, and identify barriers and facilitators to intervention implementation across the re-entry continuum. Acceptability and appropriateness of intervention components from the perspectives of women and public safety/public health stakeholders (e.g., jail staff, RCs, treatment providers) will be measured through individual-level survey data collection. Aim 4: Examine economic impact of the WJCOIN-II interventions pre-release and post-release in reducing women's overdose risk in rural communities. Cost effectiveness and net societal costs will be assessed by incorporating clinical (overdose risk) and service utilization (treatment entry) outcomes using tailored budget impact tools. The study will make a significant impact regarding the effectiveness, implementation, and sustainability of innovative overdose prevention strategies during the high-risk time of community re-entry among vulnerable, CLS-involved women in rural communities.

03

Conditions studied

  • Overdose Risk
  • Opioid Use Disorder
  • Stimulant Use Disorders

Keywords

  • Overdose
  • women
  • criminal justice
  • opioid use disorder
  • stimulant use disorder
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • scores of 2+ for opioids (OUD) and/or stimulants (StUD),
  • no evidence of cognitive impairment in providing consent,
  • a release date within 7-60 days to allow for time for intervention sessions,
  • willingness to consider SUD treatment post-release, and
  • willingness to provide the name and contact information of at least one person in the community who will support the woman's recovery pre/post-release (SP).

Exclusion criteria

Exclusion Criteria:

  • Not living in a rural area
  • Any condition that would not allow capable
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Factorial assignment
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Experimental
    Recovery Coaching Only

    Following the clinical assessment, all participants will receive the "base" recovery coaching intervention pre-release. RCs will be employed by VOH and will be women with lived experience with OUD/StUD recovery and CLS involvement who will provide strengths-based, person-centered recovery coaching sessions designed to reduce overdose risk. Women will meet with the RC pre-release to assess basic re-entry needs associated with entering treatment (e.g., lack of housing, food, clothing, transportation, employment). RCs will have access to a "barrier relief fund" to address these needs (e.g., clothes for an interview, transportation vouchers) following established RC protocols. At discharge, all women will be provided re-entry transition kits (e.g., hygiene items, condoms, overdose prevention resources) and naloxone.

    Behavioral: Overdose Prevention Intervention Package (OPIP)

  • Experimental
    Recovery Coaching + Safe Person Engagement

    Women in this condition will receive the base (RC) pre-release intervention and the Support Person Engagement (SPE) component pre- and post-release. Support Person (SP) designation will draw upon 1) the woman's suggested SP at screening, 2) baseline social network data, and 3) the initial RC meeting. Identified SPs will be screened for eligibility, including being over the age of 18 and willing to engage in intervention sessions. Exclusion criteria for SPs (based on participant and SP self-report) includes past felony conviction, currently incarcerated, on community supervision, or prior history of domestic violence/EPOs. All SPE sessions will align with overdose risk education, understanding treatment options (including MOUD), naloxone distribution, and harm reduction strategies to keep the woman safe during community re-entry. SPs will have access to free naloxone to carry and distribute.

    Behavioral: Overdose Prevention Intervention Package (OPIP)

  • Experimental
    Recovery Coaching + Contingency Management

    Women randomized to this group will receive the base pre-release RC intervention, 12 weeks of RC meetings post-release, and 12 weeks of CM post-release. Women will be informed before jail release of the expectations in the CM protocol, target behaviors, and incentive opportunities. The WJCOIN-II CM protocol will be an adapted version of Petry and Martin's approach to reinforce three target verifiable behaviors: 1) meeting with the RC; 2) stimulant abstinence; and 3) opioid abstinence using saliva drug screens. At the conclusion of weekly post-release RC sessions, research staff will join the video call for CM. Virtual CM is feasible, acceptable, and comparable to in-person CM, and research staff will administer CM separately to maintain the integrity of the RC/participant rapport. If the participant does not meet with their RC by the last day of a given week, research staff will contact the participant separately for a CM session.

    Behavioral: Overdose Prevention Intervention Package (OPIP)

  • Experimental
    Recovery Coaching + Support Person Eng + Contingency Management

    Women in this intervention condition will participate in the RC condition (pre- and post-release), the SPE sessions (pre- and post-release), and CM post-release.

    Behavioral: Overdose Prevention Intervention Package (OPIP)

Interventions

  • BehavioralOverdose Prevention Intervention Package (OPIP)

    WJCOIN-II's multi-level 2 X 2 randomized factorial design will examine the effectiveness of OPIP components across four study conditions randomly assigned after baseline data collection (n=75 per condition, 100 per jail site), summarized in Table 7 and described below. In addition to group assignment, outcomes will be assessed as a function of engagement in each intervention component defined as the number of sessions attended (RC and CM conditions) and perceived support, which is a count of the number of types of support provided by the RC and SP (e.g., emotional, financial, etc.).

06

What researchers measure

Primary outcomes

  1. Overdose risk

    Overdose risk score based on days of opioid, stimulant, and polysubstance use

    Time frame: 3, 6, and 12 months post-release

  2. Treatment entry

    Entry into any formal ASAM level of SUD treatment (e.g., outpatient, intensive outpatient, residential, inpatient, MOUD) (yes/no)

    Time frame: 1 month postrelease

07

Study locations

3 of 3 sites recruiting
  • Knox County Detention Center
    Barbourville, Kentucky 40906, United States
    Recruiting
  • Harlan County Detention Center
    Harlan, Kentucky 40828, United States
    Recruiting
  • Leslie County Detention Center
    Hyden, Kentucky 41749, United States
    Recruiting
08

References and documents

Related links

Individual participant data

Plan to share: No — Pending approval by the IRB and NIDA cooperative

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2026 (actual). Primary completion is estimated for Oct 2030, 52 months after the start.

Of 464 non-industry interventional studies with no phase under Opioid-Related Disorders, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 47. This study's planned 52 months is above that.

Counting every sponsor, half of 495 studies reached it within 29 months; a quarter within 13 and three quarters within 46.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 16, 2025
First posted
Sep 18, 2025
StartActual
Jun 23, 2026
Primary completionEst.
Oct 30, 2030
CompletionEst.
Oct 30, 2030
Last update
Sep 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07179614
Lead sponsor
Michele Staton
Responsible party
Michele Staton (Professor, University of Kentucky) — Sponsor-investigator
First posted
Sep 18, 2025
Start date
Jun 23, 2026
Primary completion
Oct 30, 2030 (estimated)
Completion
Oct 30, 2030 (estimated)
Last update
Sep 16, 2026

Study contacts

Michele Staton, PhD
Contact
mstaton@uky.edu
859-312-8245
Martha Tillson, PhD
Contact
martha.tillson@uky.edu
859-447-5007
Michele Staton, PhD
principal investigator · University of Kentucky

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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